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Details Why is this drug prescribed? Generic Micardis controls high blood pressure. It works by blocking the effects of a hormone called angiotensin II. Unopposed, this substance tends to constrict the blood vessels while promoting retention of salt and water--actions that tend to raise blood pressure. Generic Micardis prevents these effects and thus keeps blood pressure lower. It can be prescribed alone or with other high blood pressure medications, such as diuretics that help rid the body of excess water. Most important fact about this drug Generic Micardis should reduce your blood pressure within a couple of weeks, although it may take a month to achieve its maximum effect. You need to continue taking this drug regularly, even if you feel well. Generic Micardis does not cure high blood pressure, it merely keeps it under control. How should you take this medication? You can take Generic Micardis with or without food. To avoid forgetting a dose, make a habit of taking it at the same time each day. If you miss a dose... Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once. Storage instructions... Store at room temperature. Leave each tablet in its blister pack until you're ready to take it. What side effects may occur? Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Generic Micardis. * More common side effects may include: Back pain, diarrhea, respiratory tract infection, sinus inflammation * Less common side effects may include: Abdominal pain, chest pain, cough, dizziness, fatigue, flu-like symptoms, headache, high blood pressure, indigestion, muscle aches, nausea, pain, sore throat, swelling, urinary tract infection * Rare side effects may include: Abnormal vision, allergy, anxiety, arthritis, asthma, boils, bronchitis (wheezing), constipation, depression, diabetes, difficulty breathing, drowsiness, dry mouth, earache, ear infection, eczema, fever, flushing, fungal infection, gas, gastrointestinal disorders, gout, hemorrhoids, impaired sensibility, impotence, increased urination, infection, insomnia, itching, joint pain, leg cramps, leg pain, migraine, muscle contractions, nervousness, nosebleed, pinkeye (conjunctivitis), rapid heartbeat, rash, reduced sensitivity, ringing in the ear, runny nose, stomach and intestinal problems, sweating, swollen leg, tingling or burning sensation, toothache, urinary tract infection, vomiting Why should this drug not be prescribed? If Generic Micardis gives you an allergic reaction, you cannot continue using it. Special warnings about this medication Generic Micardis can cause a severe drop in blood pressure, especially when you first start taking the drug. The problem is more likely to occur if your body's supply of water has been depleted by diuretics (water pills). Symptoms include light-headedness, dizziness, and faintness. Call your doctor if they occur. You may need to have your dose adjusted. If you have liver or kidney disease, Generic Micardis must be used with caution. Be sure your doctor is aware of either problem. Possible food and drug interactions when taking this medication If Generic Micardis is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Generic Micardis with the following: Digoxin (Lanoxin) Warfarin (Coumadin) Special information If you are pregnant or breastfeeding When used in the second or third trimester of pregnancy, Micardis can cause injury or even death to the unborn child. Stop taking Micardis as soon as you know that you are pregnant. It is not known whether Micardis appears in breast milk. However, for safety's sake it's considered best to either avoid breastfeeding or give up the drug. Recommended dosage ADULTS The usual starting dose is 40 milligrams once a day. If necessary, the dose can be increased to a maximum of 80 milligrams daily.